Ni iki TUIP? Intego, Uburyo & Ibivamo

TUIP yerekana Incision ya Transurethral ya Prostate, uburyo bwo kubaga butagira ingaruka nyinshi bufasha abagabo bafite ibimenyetso bya prostate yagutse. Bitandukanye no kubaga prostate bikomeye, TUIP ikubiyemo gukora ibice bito, byuzuye muri prostate kugirango igabanye umuvuduko kuri urethra. Ubu buryo bufasha cyane abagabo bafite prostate ntoya bahura n'ibimenyetso byo kunyara bibangamye ariko bifuza kwirinda imiti ikomeye.

Ni iki TUIP?

TUIP ni uburyo bwo kubaga aho umuganga wawe akora ibice bito bibiri cyangwa kimwe muri prostate yawe kugirango yongere urujya n'uruza rw'inkari. Tekereza nkaho ukora umwobo muto mu ijosi rifatanye kugirango guhumeka byoroshye. Ubu buryo bugamije ahantu prostate yawe izenguruka urethra yawe, umuyoboro ujyana inkari ziva mu mpyisi yawe.

Mugihe cya TUIP, umuganga wawe akoresha igikoresho gito, gifite urumuri cyitwa cystoscope gishyirwa muri urethra yawe. Nta gice cyo hanze gikenewe, bivuze ko ntuzagira ibice bigaragara ku mubiri wawe. Ubu buryo bwose busanzwe bufata iminota 20 kugeza kuri 30 kandi bukorerwa munsi ya anesthesia.

Ubu buryo bugenewe cyane abagabo bafite prostate zingana na garama 30 cyangwa ntoya. Bifatwa nk'inzira yo hagati yo gukoresha imiti no gukora ibikorwa bikomeye nka TURP (Transurethral Resection of the Prostate).

Kuki TUIP ikorwa?

TUIP irasabwa iyo prostate yawe yagutse itera ibimenyetso bibangamye byo kunyara bitaravurwa n'imiti. Muganga wawe ashobora gutanga icyifuzo cy'ubu buryo niba uhuye n'ingorane zo gutangira kunyara, urujya n'uruza rw'inkari rutagira imbaraga, cyangwa ingendo nyinshi z'ubwiherero z'ijoro zikora ku mibereho yawe.

Intego nyamukuru ni kugabanya umuvuduko prostate ishyira ku muyoboro w'inkari utavanze igice cya prostate. Ubu buryo burinda byinshi mu bigize umubiri wawe ugereranije n'andi mabaganga ya prostate. Ushobora kuba umukandida mwiza niba ufite prostate nto ariko ugahura n'ibimenyetso bikomeye.

Urologist wawe azatekereza kandi TUIP niba udashobora kwihanganira imiti ya prostate kubera ingaruka zayo, cyangwa niba imiti itatanze ubufasha buhagije nyuma y'amezi menshi yo kuvurwa. Ubu buryo bufitiye akamaro cyane abagabo bakiri bato bifuza gukomeza imikorere yabo y'imibonano mpuzabitsina n'ubushobozi bwo gusohora.

Ni iki uburyo bwa TUIP bumaze?

Uburyo bwawe bwa TUIP butangirana no gutanga anesthesia, haba spinal cyangwa rusange, bitewe n'ubuzima bwawe n'icyo ukunda. Umaze kumva umeze neza, umuganga wawe agushyira ku mugongo wawe amaguru yawe ashyigikiwe mu birundo, kimwe n'izindi nzira za urological.

Umuganga ashyiraho cystoscope binyuze mu muyoboro wawe w'inkari akawuyobora mu gace ka prostate yawe. Iki gikoresho gifite urumuri na kamera bituma muganga wawe abona neza imbere mu nzira yawe y'inkari. Nta gice cyo hanze gikorwa ahantu hose ku mubiri wawe muri ubu buryo.

Akoresheje igikoresho gikatisha amashanyarazi gifatanye na cystoscope, umuganga wawe akora imwe cyangwa ebyiri ziciriritse muri prostate yawe. Izi ntonganya zikorerwa ahantu ha saa 5 na saa 7 niba utekereza prostate yawe nk'isaha. Izo ntonganya ziva mu ijosi ryawe ry'uruhu rwawe rugana ahantu mbere gato ya sphincter yawe y'inkari yo hanze.

Nyuma yo gukora izo ntonganya, umuganga wawe ashobora gukoresha umuriro w'amashanyarazi kugirango ashyireho ibikoresho byose biva amaraso. Noneho catheter ishyirwa binyuze mu muyoboro wawe w'inkari mu ruhu rwawe kugirango ifashe gukuramo inkari mugihe prostate yawe ikira. Ubu buryo bwose busanzwe bufata iminota 20 kugeza kuri 30 kugirango burangire.

Ni gute witegura TUIP yawe?

Kitegura kwawe gitangira hafi icyumweru mbere yo kubagwa, igihe uzaba ukeneye guhagarika gufata imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso. Iyi miti irimo iyo ipfundika amaraso nka warfarin, aspirine, na bimwe mu byongera imbaraga bikomoka ku bimera. Muganga wawe azatanga urutonde rwihariye rw'imiti yo kwirinda n'igihe cyo kuyihagarika mu buryo butekanye.

Uzahabwa amabwiriza yerekeye kurya no kunywa mbere yo kubagwa, akenshi bikagusaba kwiyiriza iminsi 8 kugeza kuri 12 mbere y'igihe. Iki gikorwa gifasha kwirinda ingorane zishobora kuvuka mu gihe cyo gukoresha imiti ituma umuntu atagira ubwenge. Itsinda ry'abaganga bazaguha igihe cyihariye cyo guhagarika kurya ibiryo bikomeye n'igihe cyo guhagarika kunywa amazi asobanutse.

Tegura umuntu uzagutwara mu rugo nyuma y'igikorwa kuko uzaba ukiri mu gihe cyo koroherwa n'imiti ituma umuntu atagira ubwenge. Uzashaka kandi gutegura urugo rwawe kugira ngo uruhuke neza, ukagira intebe nziza, ibiryo byoroshye gutegura, n'imiti yose yanditswe ikaba yiteguye.

Muganga wawe ashobora kugusaba guhagarika ibiyongera bimwe na bimwe nka vitamine E, ginkgo biloba, cyangwa ibinini by'ibirayi bishobora kugira ingaruka ku gupfundika kw'amaraso. Niba ufata imiti y'izindi ndwara, baze muganga wawe iyo ukwiye gukomeza gufata mu gitondo cyo kubagwa.

Ni gute usoma ibisubizo byawe bya TUIP?

Isubizo ryawe rya TUIP rigaragarira cyane mu guteza imbere ibimenyetso byawe byo kunyara kuruta imibare yo muri laboratori. Intsinzi isuzumwa akenshi hakoreshejwe ibibazo by'ibimenyetso nka International Prostate Symptom Score (IPSS) uzuzuzamo mbere na nyuma yo kubagwa.

Muganga wawe azasuzuma iterambere mu turere dukurikira: uko utangira kunyara byoroshye, imbaraga z'umuyoboro wawe w'inkari, uko usukura uruhago rwawe rwose, n'uko ukunda kunyara ku manywa na nijoro. Abagabo benshi bamenya impinduka mu byumweru 2 kugeza kuri 6 nyuma yo kubagwa.

Ibipimo bigaragaza ibipimo birimo ibizamini byo gupima umuvuduko w'inkari, aho wihagarika mu gikoresho cyihariye gipima umuvuduko w'inkari ziva mu mpyisi yawe. Umuvuduko usanzwe ni mililitiri 15 ku isegonda cyangwa hejuru. Muganga wawe ashobora kandi gukoresha ultrasound kugirango arebe ingano y'inkari zisigara mu mpyisi yawe nyuma yo kwihagarika.

Umuvuduko wo gutsinda wa TUIP ugaragaza ko abagabo bagera kuri 80% bagira impinduka zigaragara z'ibimenyetso bimara imyaka myinshi. Ariko, abagabo bamwe bashobora gukenera ubuvuzi bwiyongera niba prostate yabo ikomeza gukura uko igihe kigenda.

Ni gute wakwitwara nyuma ya TUIP?

Gukira kwawe gutangirira mu bitaro aho uzamara iminsi 1 kugeza kuri 2 ufite catheter mu mwanya. Catheter ifasha gukuramo inkari mu gihe prostate yawe ikira kandi igabanya ibyago byo guhagarara kw'inkari. Ushobora kubona amaraso make mu nkari zawe mbere na mbere, ibyo bisanzwe.

Iyo uri mu rugo, uzakenera kunywa amazi menshi kugirango afashe gusukura sisitemu yawe y'inkari no gukumira indwara. Gushaka kunywa ibirahure 8 kugeza kuri 10 by'amazi buri munsi keretse muganga wawe abigushishikarije. Irinda inzoga na cafeine mbere na mbere, kuko ibi bishobora kurakaza imyenda yawe ikira.

Ibikorwa bya fisikale bigomba kugabanwa mu byumweru bike bya mbere nyuma yo kubagwa. Irinda kuzamura ibintu biremereye (birenze ibiro 10), imyitozo ikomeye, no kuremererwa mugihe cyo kwituma. Ibi bikorwa bishobora kongera umuvuduko mu nda yawe kandi bishobora gutera amaraso.

Ushobora kwitega gusubira mu bikorwa bisanzwe buhoro buhoro mu byumweru 2 kugeza kuri 4. Abagabo benshi bashobora gusubira mu kazi ko ku meza mu minsi mike, mugihe abafite akazi gakomeye bashobora gukenera ibyumweru 2 kugeza kuri 3. Muganga wawe azatanga amabwiriza yihariye ashingiye ku iterambere ryawe ryo gukira.

Ni izihe mpamvu zishobora gutera ingaruka za TUIP?

Uburwayi bumwe na bumwe bushobora kongera ibyago byo kugira ibibazo mu gihe cyangwa nyuma ya TUIP. Abagabo barwaye diyabete itagenzurwa bahura n'ibibazo byinshi byo kwandura indwara no gukira gahoro. Niba urwaye diyabete, muganga wawe azashaka ko urugero rw'isukari mu maraso yawe rugenzurwa neza mbere yo kubagwa.

Indwara z'umutima n'indwara zo gupfuka amaraso bisaba kwitabwaho by'umwihariko mugihe cyo gutegura TUIP. Niba ufata imiti ituma amaraso ataguma, kubera ibibazo by'umutima cyangwa ufite amateka y'indwara zo kuva amaraso, ikipe yawe yo kubaga izakenera gucunga neza ibi bintu. Umuganga w'umutima wawe n'umuganga w'inzego z'imyororokere bazakorana kugirango bamenye umutekano wawe.

Imyaka yonyine si imbogamizi ya TUIP, ariko abagabo bakuze bashobora kugira indwara nyinshi zikeneye kwitabwaho. Abagabo barengeje imyaka 75 bashobora kugira igihe kirekire cyo gukira n'ibibazo bike byinshi nk'ifungwa ry'inkari cyangwa kwandura indwara.

Ubunini bwa prostate bufite akamaro kanini kugirango TUIP igere ku ntego. Abagabo bafite prostate nini cyane (irenze garama 30) mubisanzwe ntibari abakandida beza kuko iyi nzira ishobora kutatanga ubufasha buhagije. Muganga wawe azapima ubunini bwa prostate yawe akoresheje ultrasound cyangwa MRI mbere yo kugusaba TUIP.

Ni ibihe bibazo bishobora kuvuka kuri TUIP?

Ibibazo bisanzwe nyuma ya TUIP muri rusange biroroshye kandi by'igihe gito. Ushobora kumva uburyaryate mugihe unyara muminsi mike, akenshi bikemuka mugihe imitsi yawe ikira. Abagabo bamwe babona amaraso make mu nkari zabo kugeza ku byumweru bibiri nyuma yo kubagwa.

Indwara z'inzira y'inkari zibaho kuri 5% kugeza kuri 10% by'abagabo nyuma ya TUIP. Ibimenyetso birimo uburyaryate mugihe unyara, kunyara kenshi, inkari zifite ibihu, cyangwa umuriro. Ubu bwandu busanzwe bwakira neza kubera imiti yica mikorobe kandi ntibitera ibibazo by'igihe kirekire.

Imikorere y'imibonano mpuzabitsina ihinduka gake iyo bakoresheje TUIP ugereranije n'izindi nzira zikoreshwa ku rwego rwa prostate. Abagabo benshi bakomeza ubushobozi bwabo bwo kugira imitsi y'igitsina yongera imbaraga no kurangiza. Ariko, hari abagabo bashobora guhura n'ikibazo cyo kurangiza umugabo, aho intanga zisubira inyuma mu kiziba cy'inkari aho gusohoka mu gitsina igihe cyo kurangiza.

Ibikomere bidasanzwe ariko bikomeye birimo kuva amaraso menshi bisaba guterwa amaraso, bikaba bibaho ku bantu batarenze 1%. Hari abagabo bashobora guhura n'ikibazo cyo kutihagarika nyuma yo gukuraho catheter, bisaba kongera gushyiraho catheter mu minsi mike. Mu buryo budasanzwe, ibikomere ntibishobora gukira neza, bigasaba kuvurwa byiyongera.

Ni ryari nkwiriye kubona umuganga nyuma ya TUIP?

Vugana n'umuganga wawe ako kanya niba uhuye no kuva amaraso menshi hamwe n'udupande tunini, ububabare bukomeye butavurwa n'imiti yategetswe, cyangwa ibimenyetso byo kwandura nk'umuriro uri hejuru ya 101°F (38.3°C). Ibi bimenyetso bishobora kugaragaza ibibazo bisaba ubufasha bwihuse bw'abaganga.

Ugomba kandi guhamagara umuganga wawe niba udashobora kwihagarika nyuma yo gukuraho catheter yawe, cyangwa niba ufite isesemi n'umuriro bihoraho bikubuza kuguma mu mazi. Ibi bihe bishobora gusaba gushyiraho catheter by'agateganyo cyangwa izindi nzego.

Teganya gahunda yo gusuzumwa niba ubona ibimenyetso byo mu nkari zawe bitaravugururwa nyuma y'ibyumweru 6 kugeza kuri 8 byo gukira. Nubwo abagabo bamwe babona impinduka ako kanya, abandi bakeneye igihe kirekire kugira ngo babone inyungu zose z'iyi nzira.

Reba ibimenyetso byo kwandura mu nzira y'inkari, harimo gutwika igihe cyo kwihagarika, inkari zifite ubwiza cyangwa zifite impumuro mbi, cyangwa kongera kwihagarika kenshi. Kuvura indwara hakiri kare bifasha kwirinda ibibazo bikomeye kandi bigateza imbere gukira neza.

Ibikoresho bibazwa kenshi kuri TUIP

Q1: Ese TUIP iruta imiti yo kuvura prostate yagutse?

TUIP na imiti bifite imirimo itandukanye mu kuvura ibimenyetso bya prostate yagutse. Imiti nk'iyo bita alpha-blockers na 5-alpha reductase inhibitors ikora neza ku bagabo benshi kandi akenshi igeragezwa mbere. Ariko, TUIP iba uburyo bwiza iyo imiti itatanga ubufasha buhagije, itera ingaruka zitakwemerwa, cyangwa iyo wifuza ubuvuzi burambye.

Inyungu ya TUIP ni uko itanga ubufasha burambye kandi ntisaba imiti ya buri munsi. Abagabo benshi bagira impinduka zigaragara zimara imyaka myinshi. Ariko, imiti ntigira ubugizi bwa nabi kandi ntigira ibyago byo kubagwa, bigatuma bikwiriye abagabo bafite ibimenyetso byoroheje cyangwa abatarakwiriye kubagwa.

Q2: Ese TUIP igira ingaruka ku mikorere y'imibonano mpuzabitsina?

TUIP akenshi ntigira ingaruka nyinshi ku mikorere y'imibonano mpuzabitsina ugereranyije n'izindi nzira zivura prostate. Abagabo benshi bakomeza ubushobozi bwabo bwo kugira imitsi y'igitsina yongera amaraso no kugira orgasme nyuma ya TUIP. Ubu buryo bwashyizweho by'umwihariko kugira ngo bubungabunge imitsi n'ibice by'ingenzi ku mikorere y'imibonano mpuzabitsina.

Abagabo bamwe bashobora kugira retrograde ejaculation, aho amasohoro asubira inyuma mu rwagashya mu gihe cy'orgasme aho gusohoka mu gitsina. Ibi ntibigira ingaruka ku kumva orgasme cyangwa ubushobozi bwawe bwo kugira imitsi y'igitsina yongera amaraso, ariko bishobora kugira ingaruka ku kubyara kuko amasohoro make asohoka.

Q3: Ubufasha bwa TUIP bumara igihe kingana iki?

TUIP itanga ubufasha burambye ku bimenyetso ku bagabo benshi, hamwe n'ubushakashatsi bwerekana ibisubizo byiza bimara imyaka 5 kugeza ku 10 cyangwa irenga. Abagabo bagera kuri 80% bagira impinduka zigaragara zikomeza uko imyaka igenda. Ariko, kubera ko prostate ishobora gukomeza gukura mu buzima bw'umugabo, ibimenyetso bimwe bishobora kugaruka buhoro buhoro.

Igihe ubufasha bumara giterwa n'imyaka yawe, ubuzima bwawe muri rusange, n'ukuntu prostate yawe ikura uko imyaka igenda. Abagabo bakiri bato bashobora kugira inyungu zirambye, naho abagabo bakuze bashobora gukenera ubuvuzi bwiyongera vuba bitewe no gukomeza gukura kwa prostate.

Q4: Ese TUIP ishobora gusubirwamo niba ibimenyetso bisubiyeho?

Yego, TUIP irashobora gusubirwamo niba ibimenyetso byawe bisubiyeho kandi ukaba ukwiye gukorerwa ubu buryo. Ariko, gusubiramo TUIP ntibisanzwe nkuko biba ku zindi nshingano zivura prostate. Niba ibimenyetso bisubiyeho cyane, muganga wawe ashobora kugusaba izindi nshingano nka TURP cyangwa izindi nshingano nshya.

Ukwemera gusubiramo TUIP biterwa n'ubunini bwa prostate yawe, ubuzima bwawe muri rusange, n'urugero rwo gusubira inyuma kw'ibimenyetso. Umuvuzi wawe w'inzobere mu by'imitsi y'inkari azasuzuma ibi bintu akuganirize ku buryo bwiza bujyanye n'ibihe byawe byihariye.

Q5: Ese TUIP irishyurwa n'ubwishingizi?

Ubwishingizi bwinshi bw'ubuzima, burimo na Medicare, burishyura TUIP iyo bikenewe mu buvuzi bwo kuvura ibimenyetso bya prostate yagutse. Ariko, ibikenewe byo kwishyura biratandukanye hagati y'amasosiyete y'ubwishingizi na gahunda. Ibiro bya muganga wawe mubisanzwe bikora imyiteguro y'ubwishingizi mbere yo kwemeza kugira ngo barebe ko ubu buryo burishyurwa.

Uzagomba kuganira n'umutanga w'ubwishingizi bwawe ku bisobanuro byihariye by'ubwishingizi bwawe, harimo n'ibiciro byose, amafaranga y'ubufatanye, cyangwa ibiciro byo mu mufuka. Gahunda zimwe na zimwe z'ubwishingizi zishobora kugusaba kubanza kugerageza imiti mbere yo kwemeza uburyo bwo kubaga nka TUIP.